Pneumatosis Cystoides Intestinalis Due to Cholelithiasis: A Case Report

Abstract

A 77-year-old female patient presented to EU with abdominal pain, nausea, vomiting, constipation, and abdominal distention. The patient's vital signs were in the normal range. Based on her physical examination, there was abdominal distention and general abdominal tenderness in all quadrants, especially on the right upper side, with palpation. Other system examinations were normal. She underwent a hysterectomy operation 1 year ago. Patient's routine blood tests and kidney and liver function tests were in the normal range. Intestinal-type air-fluid level (Figure 1) was seen on direct abdominal radiography. Abdominal CT showed a gall stone, with free air around the stone, and PCI was obvious on the intestinal wall (Figure 2a, b). The patient underwent general surgery consultation. Surgeons suggested operation, but she rejected the suggestion. Thus, she underwent supportive therapy. The patient's clinical condition degraded and she was discharged on the third day of hospitalization in the surgery service.